Healthcare Provider Details

I. General information

NPI: 1043830276
Provider Name (Legal Business Name): TOPOLL PERSONAL CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6114 W CAPITOL DR STE 307
MILWAUKEE WI
53216-2147
US

IV. Provider business mailing address

6114 W CAPITOL DR STE 307
MILWAUKEE WI
53216-2147
US

V. Phone/Fax

Practice location:
  • Phone: 414-616-1210
  • Fax: 414-616-1993
Mailing address:
  • Phone: 414-616-1210
  • Fax: 414-616-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDA A WAOH
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 414-759-1553